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Monocheek syndrome: What to do if you have been overfilled with fillers.

Published on December 12, 2012

Advantages of Fillers
One major appeal of hyaluronic fillers like Restylane Lyft®, Restylane, and Juvederm–arguably some of today’s best facial fillers for many individuals–is the relative ease with which treatment can be given, modified, and even reversed. Opting to have facial filler strategically placed in areas of volume deficiency can greatly enhance your facial contour and restore the full features that are associated with youth. The type of filler or fillers you need and their placement will depend upon your unique facial structure and concerns, as well as medical history. In many cases, treatment of dark circles under the eyes can be achieved with Restylane and greatly complimented by Restylane Lyft® placed in the upper cheek.

Treatment by facial fillers is a nonsurgical, comfortable procedure that can be performed as a comfortable, simple office visit to a qualified and experienced cosmetic surgeon who specializes in fillers and facial balance. The benefits of these hyaluronic fillers are long-lasting. Patients often find that under eye treatments can last a year and in some cases up to two years. This means that these nonsurgical results rival the longevity of surgical results and often exceeds the results of surgery.

Flexibility and Corrections with Fillers in the Cheek
However, if for any reason you are dissatisfied with your treatment, need a simple adjustment, or desire further consultation, your doctor can alter or essentially erase your filler results by using the enzyme hyaluronidase. In the case of an individual who has been overfilled with fillers, such as too much Restylane Lyft® in the cheek. Overfill can take a couple of common forms. One type of over treatment is described by Dr. Steinsapir as the “monocheek” syndrome. This describes the situation when the top of the cheek is overfilled causing the lower eyelid crease to be filled up. It appears as though the cheek extends right up to the eyelashes. Another overfill syndrome is when the doctor overfills the cheek to low. This look is called the “New New Face” by Jonathan Van Meter. It makes the face look like a caricature of one’s face.

These overfill syndromes do not look natural. These treatments can be shaped to make the effect look much more natural. Correction by hyaluronidase is accomplished via small injections, which are comfortably and performed in the office. Typically, Dr. Steinsapir can help you completely resolve your concerns in just one or two office visits. The ease and safety of the correction means that there is just no reason why an individual should have to put up with dissatisfactory results. Dr. Steinsapir finds that some individuals put off being corrected because they are hoping the results will resolve on their own. However, because these treatments last a very long time, he advises having the service adjusted as early as possible to get the longest benefit from the treatment.

The key with any satisfactory cosmetic treatment is choosing the right doctor. In most cases, your original cosmetic surgeon will be eager to correct your filler treatment with the hyaluronidase enzyme. Unfortunately, there are also underqualified medi-spas and nonspecialists performing these services, and this lack of expertise can be the reason you received too much filler, or filler that was not optimally placed in the precise anatomic areas where you need it. In such a case, it’s advisable to seek a second opinion from a board-certified cosmetic surgeon who makes facial fillers a major focus of his or her practice, and who has proven success and leadership in the field. As one of the top 3% users of Restylane and Restylane Lyft® within the U.S., and as a Physician Consultant for Galderma who distributes these fillers, Dr. Steinsapir provides unparalleled filler services and experience. If you are dissatisfied with treatment or desire a second opinion, you do not need to wait any longer. Please call us today to learn how you can improve your experience and achieve immediate benefits.

About Dr. Steinsapir
Dr. Steinsapir is a board certified eye surgeon and fellowship-trained in oculoplastic surgery and cosmetic surgery in Los Angeles where he specializes in balanced facial cosmetic surgery for natural results, with an emphasis on minimally invasive techniques, fast recovery time, and leadership in medical technology. Dr. Steinsapir has a private practice and also serves as an Associate Clinical Professor of Ophthalmology at the Jules Stein Eye Institute, at the David Geffen School of Medicine at UCLA. Contact us today to learn how Dr. Steinsapir’s experience and training make him an expert in cosmetic surgery, which can be a vital part of your evidence-based treatment plan.

Services described may be “off-label” and lack FDA approval. This article is informational and does not constitute an advertisement for off-label treatment. No services should be provided without a good faith examination by a licensed physician or surgeon and an informed consent with a discussion of risks, benefits, alternatives, and the likelihood of treatment success. Only you and your treating physician or surgeon can determine if a treatment is right for you.